Active NPI
Katie Struble LCSW LLC
- Mental Health Counselor
- Branchville, NJ
National Provider Identifier
1003575028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- KATIE STRUBLE LCSW LLC
- Practice address
- 36 Wantage Avenue
Branchville, NJ 07826-0782 - Phone
- (973) 534-6880
- NPI assigned
- Dec 17, 2021
- Last updated
- Dec 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katie Struble, LCSW
- Title
- Owner
- Phone
- (973) 534-6880
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
36 Wantage Avenue
Branchville, NJ 07826-0782
Mailing address
PO Box 504
Augusta, NJ 07822-0504
Phone (973) 534-6880
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Community/Behavioral Health Agency
- Branchville, NJ
- NPI 1326644691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639699200000",
"number": "1003575028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 504",
"city": "AUGUSTA",
"state": "NJ",
"postal_code": "078220504",
"telephone_number": "973-534-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 WANTAGE AVENUE",
"city": "BRANCHVILLE",
"state": "NJ",
"postal_code": "078260782",
"telephone_number": "973-534-6880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATIE STRUBLE LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-17",
"last_updated": "2021-12-17",
"certification_date": "2021-12-16",
"status": "A",
"authorized_official_last_name": "STRUBLE",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-534-6880",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Branchville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.